Factors associated with the use of dietary supplements and over-the-counter medications in Japanese elderly patients

Masumoto, Shoichi; Maeno, Takami; Ichinohe, Yumiko; Maeno, Tetsuhiro

doi:10.1186/s12875-017-0699-9

Cited by 26 publications

(30 citation statements)

References 33 publications

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“…In a previous nationally representative survey among Malaysians, 87.3 and 88.9% of the respondents were reported to use biological-based therapies (including HDS) to maintain health and treat health problems, respectively [3]. Furthermore, HDS were commonly used by patients to manage chronic diseases [4] such as diabetes mellitus and dyslipidemia, and to maintain health [5].…”

Section: Introductionmentioning

confidence: 99%

The use of herbal and dietary supplement among community-dwelling elderly in a suburban town of Malaysia

Wahab

Zaini

Ali

et al. 2021

BMC Complement Med Ther

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Background The use of herbal and dietary supplement (HDS) in health and disease management has gained global attention. HDS are generally accepted by the public and are associated with positive health behaviours. However, several reports have been documented with regards to their potential adverse effects and interaction with conventional medicines. Limited data is currently available on the use of HDS among elderly population in Malaysia. This present study aims to investigate the prevalence of and pattern of HDS use among a sample of community-dwelling elderly in a suburban town in Malaysia. Methods A cross-sectional survey was conducted between March and May 2019 among the elderly aged ≥60 years old. The participants with the following criteria were included in the study: aged ≥60 years, residing in Puncak Alam and able to understand Malay or English language. Data were collected using a pre-validated questionnaire. All statistical analysis was conducted using IBM SPSS ver. 23. Results Overall, 336 out of 400 elderly responded to the survey, achieving a response rate of 84%. This study observed that almost 50% of the respondents were using at least one type of HDS in the past one month of the survey. Among HDS non-users, most of them preferred to use modern medicines (62.6%, 114/182). Among the HDS users, 75.3% (116/154) were using at least one type of modern medicine (prescription or over-the-counter medicine). Multivariate analysis showed that having good to excellent perceived health (adjusted OR = 2.666, 95% CI = 1.592–4.464), having felt sick at least once in the past one month (adjusted OR = 2.500, 95% CI = 1.426–4.383), and lower body mass index (adjusted OR = 0.937, 95% CI = 0.887–0.990) were associated with HDS use. It was noted that only a small percentage of HDS users (16.2%, 25/154) had informed healthcare providers on their HDS use. Conclusion The use of HDS is common among the elderly sampled. Hence, healthcare providers should be more vigilant in seeking information of HDS use for disease management in their elderly patients. Campaigns that provide accurate information regarding the appropriate use of HDS among the elderly are pertinent to prevent misinformation of the products.

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Section: Introductionmentioning

confidence: 99%

The use of herbal and dietary supplement among community-dwelling elderly in a suburban town of Malaysia

Wahab

Zaini

Ali

et al. 2021

BMC Complement Med Ther

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“…Many previous studies have paid more attention to specific groups such as the elderly, patients, and children [ 34 , 35 ]. However, this condition may not be the same among university students who are energetic and healthy.…”

Section: Introductionmentioning

confidence: 99%

Investigation and Comparison of Nutritional Supplement Use, Knowledge, and Attitudes in Medical and Non-Medical Students in China

Liu

Yang

et al. 2018

Nutrients

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The objective of this study is to investigate and compare the prevalence, knowledge, and attitudes of Chinese university students with respect to nutritional supplements. We conducted a cross-sectional study in several universities around China from January to December 2017, and enrolled a total of 8752 students. Of these, 4252 were medical students and 4500 were non-medical students. The use of nutritional supplements was reported by 58.9% in universities students, with a higher rate for medical students as compared to non-medical students. It was found 24.2% of participants had taken supplements in the past year. Medical students had a higher level of knowledge on nutritional supplements than non-medical students (p < 0.001). The most commonly used nutritional supplements were vitamin C, calcium, and vitamin B. Gender (p < 0.001), household income (p < 0.001), and health status (p < 0.001) were related to the nutritional supplement use after adjustment for related factors. In conclusion, in China, nutritional supplement use was found to be more common in medical students than those studying other disciplines, and was associated with sex, income, and health status. The attitude towards nutritional supplements by medical students was positive. Students’ knowledge levels about nutritional supplements need to be improved

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“…However, in Japan, adherence to prescription drugs is high, and over-the-counter analgesic medications (e.g., APAP) are seldom used because of the Japanese universal healthcare system. 17,18) Also, APAP could not be assessed in terms of the daily dose during the study period because the dose is usually changed in the clinical setting. Furthermore, clinicians may have been more likely to prescribe APAP rather than NSAIDs for patients with CKD; however, we excluded NSAID users, and evaluated diŠerences between APAP users and non-users.…”

Section: Discussionmentioning

confidence: 99%

Is Concomitant Therapy with Acetaminophen and Low-dose Aspirin a Risk Factor for CKD Progression? A 6-Year Cohort Study

et al. 2020

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Concomitant therapy with acetaminophen (APAP) and low-dose aspirin is often used in clinical settings; however, it is unclear whether this combination is involved in the progression of chronic kidney disease (CKD). We hypothesized that concomitant therapy with APAP and low-dose aspirin may cause CKD progression. We carried out a retrospective 6-year cohort study that included all patients who received low-dose aspirin from January 2011 to December 2016 at Kaetsu Hospital. Primary outcome was deˆned as CKD progression at the end of the study compared with baseline. Among the 441 patients treated during the study period, we identiˆed 89 cases of CKD progression. Multivariate regression analysis showed that exposure to APAP ＞ 50 g [odds ratio (OR), 2.68, 95％ conˆdence interval (CI), 1.08 6.70], age increase by 1 year (OR, 1.05, 95％ CI, 1.02 1.08), and diabetes mellitus (OR, 2.40, 95％ CI, 1.41 4.08) had positive associations with CKD progression. Ourˆndings suggested that concomitant therapy with APAP and low-dose aspirin increased the risk of CKD progression. Therefore, we recommend more thorough monitoring of serum creatinine when patients are on such concomitant therapy. Moreover, it is important to advise users of low-dose aspirin to avoid unnecessary use of APAP, in order to reduce the risk of CKD progression.

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Factors associated with the use of dietary supplements and over-the-counter medications in Japanese elderly patients

Cited by 26 publications

References 33 publications

The use of herbal and dietary supplement among community-dwelling elderly in a suburban town of Malaysia

The use of herbal and dietary supplement among community-dwelling elderly in a suburban town of Malaysia

Investigation and Comparison of Nutritional Supplement Use, Knowledge, and Attitudes in Medical and Non-Medical Students in China

Is Concomitant Therapy with Acetaminophen and Low-dose Aspirin a Risk Factor for CKD Progression? A 6-Year Cohort Study

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